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Home My WebLink About2371 CARINGA WAY; H; CB011022; Permit03/15/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No:CB011022 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2371 CARINGA WY CBAD St: H PLUM 2152404200 Lot#: 0 Construction Type: NEW SEACREST LLC/ REPAIR GAS LINE Status: ISSUED Applied: 03/15/2001 Entered By: CB Plan Approved: 03/15/2001 Issued: 03/15/2001 Inspect Area: Applicant: GRJ ENTERPRISES SUITE A 4599 MISSION GORGE RD SD CA92120 619-287-9806 Owner: SEACRESTLLC C/OTHEORACQLE 336 S WETHERLY DR BEVERLY HILLS CA 90211 4032 03/15/01 0002 01 02 COP 20.00 Total Fees:$20.00 Total Payments To Date:$0.00 Balance Due: $20.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee 0 0 0 0 0 0 0 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $20.00 Inspector:rrc FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE (hat approval of your project includes the 'Imposition* of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1, PROJECT . t- H FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By. Business Name jat this address)Address (include Bldg/Suite *) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel f Existing Use Proposed Use Description of Work 2, CONTACT PERSON Of dtffe ifromappicant) f of Stories * of Bedrooms # of Bathrooms Name Address City 3, APPLICANT ^Contractor Q Agent for Contractor Q Owner Q Agent for Owrwr State/Zip Telephone *Fax* Name 4» PROPERTY Address OWNER 3> BA City State/Zip Telephone * 037 1 Name Address City State/Zip telephone f B, CONTRACTOR - COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption^ Any violation of Section,7031.5 by any applicant forjL Permit subjects the applicant tq_a civil penalty of not more than fivejiundred dollarsJ*500]h_ Name State License * Designer Name Address City State/Zip Telephone State License * «, WORKERS'COMPENSATION ,-",''' -. . ' •" ".- . .Y;--;. Y- •'•-•Yv. ' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: TaLj have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance 'ofnie-work for which this permit is issued. Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and pojjcy number are: r~4& *— «— fljO Insurance Company ^f Vr^^N ^~- ^T'XJ/^** Policy No. | Jri J *J «~^ O / Expiration Date /•"• i "" O I (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compfettatton coverage is unlawful, and shaM subject an employer to criminal penalties and civH fines up to one hundred thousand doHara (tUDfDpOfV addition to the coat of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . T"^"*-*"^ ^g7""V n— "- ». DATE. 7. OVifl I hereby affirm that I am exempt from the CbnMctor's License Law for the following reason: Q I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Lew does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements ere not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business end Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE loiin^prws sEcfiw ":. . '::;, ' :, ••'.,• \s the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 2550S, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097II) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION - <, :i. ..--. ^..:.,..; ; ;; v.:•.;., :-;. , : \ certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State lews relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 deySfiom the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commence/Ttor fberiad.o/180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE .. Jv^^^/.Vx^^^V —» DATE- ,Jp«^-, f VWHITEj^ile YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/16/2001 Permit# CB011022 Title: SEACREST LLC/ REPAIR GAS LINE Description: Type: PLUM Sub Type: Job Address. 2371 CARINGAWY Suite: H Lot 0 Location: APPLICANT GRJ ENTERPRISES Owner: TURF CLUB VIEW LTD Remarks: Total Time: CD Description 21 Underground/Under Floor 23 Gas/Test/Repairs Comments Inspector Assignment: Phone: 6192879806 Inspector: 7T. Requested By: NA Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments \***SfAr\Dr\ A^coTieri/"* ATTC f\c i IADII rrv ikioirifISrJt>lK]f7^c Mn ^AUUt\Um CERTIFICATE Or LIABILI 1 T INaUKANUe fl/s*/s»ooo PRODUCER CB Oanaral Insuranca 3115 Joothill Blvd. eiandila, CA 91214 (818)241-2970 M8UMD ORJ Bpfaucpy JL «w > 4599 A. Mlaaion Qorgi San Diago, , CA 92120 I Bxokaraga §216 B Plaoa THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE (HSUJERX. CLARENDON AMERICA INSURANCE COMPANY INSURER B: INSURER C. INSURER ft USURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iff A TYPE OF INSURANCE OENIRM.uu.innr X COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE [^ OCCUR QENt AGGREGATE UNIT APPLIES PER:53poucvri5g& Flu* AUTOMOBILE LIABUTY ANY AUTO ALL OWNED AUTO SCHEDULED AUTOS MREDAUTOS MM4MVNED AUTOS OiMtAflf 1 IAH ITY AW AUTO _J OCCUR nDEDUCTIBLE RETENTION CLAIMS MADE 1 BMnovmrLUMLnv OTHSR POLICY NUMBER UCLT 200 0677 %!&£!£& 7/20/2000 POUCY EXPIRATION 7/20/2001 • UMn EACH OCCURRENCE RRE DAMAGE (Any on* «ra) MED EXP (Aiw on* pm«| PERSONALtAOVMHJRV GENERAL AGGREGATE PRODUCTS - CCMPfflP AQG COMBINED 8IMOLEUMIT<E*«cddMl) BODILY INJURY (Pvpmonl BODILY INJURY(PWKCUMD PROPERTY DAMAGE(PwwekknO AUTO ONLY • EA ACaOENT OTHER THAN ^,***CAUTOONLY: ^g EACH OCCURRENCE AGGREGATE 1 WCSTATU- 1 IOTK-TCXtYUMTS 1 ER EL EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE- POUCY LIMIT ,1,000,000 ,50,000 ,5,000 ,1,000,000 ,2,000,000 ,1,000,000 1 I s f s $ t s f t ( f ( ( s \ 3 MWRimON Or OPERAT»HWU>CATIONS/VEHICLSS/UCLUSIONS MOID §V ENOORSEMENT/SPBCIAL PROVISIONS * CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER UTTER:CANCELLATION VERIFICATION PORPOSBS OMW***************** ******************************************* ******************************************* ******************************************* SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ttSUMO INSURER MNLL ENDEAVOR TO MAi. *" DAYS WRITTEN NOTBE TO THE CERTVKATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL HPOU NO OBLIGATION OR LMBUTY OF ANY KMD UPON THE INSURER. ITS AOENTS OR REPRESENTATIVES. jl _ /^j\ AUTHORBED REPRESENTATIVE K-M-^ / / STEPHEHDOQOB MJtMj^Ty fa Vt®lt~Z — ACORD 25-S (7/97)O ACORD CORPORATION 1988